Welcome to the School-Based Medicaid webpage. We acknowledge that School-Based Medicaid services and billing can be complicated and confusing to understand and implement.  The purpose of this webpage is to provide information, resources, clarification, and training to better help you serve your students with disabilities and support your staff.  This webpage has five sections, as described below:

What’s New – This section includes new information as it becomes available. Check this section frequently to learn about any exciting news or upcoming events.  Information in this section will move into other relevant sections as it ages.

Clarification Form – Use this form to ask questions, seek clarification, or share thoughts and suggestions regarding School-Based Medicaid and/or associated IDAPA rules. Specific details regarding how to use the Clarification Form are described in that section.

Clarifications – Here is where you can learn from each other’s questions. This section contains responses to the questions and issues submitted on Clarification Forms. Clarifications appear in chronological order, with the most recent at the top. You can sort clarifications by topic or use the search window to find something specific. Consider browsing the Clarifications section before submitting your own Clarification Form because one of your peers may have already asked your question. However, do not hesitate to submit your own Clarification Form if you cannot find an answer to your question or issue in this section.

Links – This section includes links to School-Based Medicaid resources.

Resources - This is where you will find the Idaho Medicaid School-Based Services Reference Guide, meeting minutes and handouts associated with the Medicaid Advisory Committee and the Interagency Student Services Support Committee, sample forms, trainings, and other documents related to Medicaid School-Based Services.

The Department of Health and Welfare Division of Medicaid, the State Department of Education, and district representatives from each region come together quarterly (September, December, March, and June) for the Medicaid Advisory Committee. These meetings help facilitate better communication between school districts (Medicaid School-Based Service providers), Medicaid policy makers, and the Office of Medicaid Program Integrity Unit (MPIU). This committee meets to address changes in IDAPA rules related to Medicaid School-Based Services, discuss audit findings and ways to improve practices, and provide clarification to districts on Medicaid School-Based Services policies and procedures. Quarterly meeting agendas and meeting minutes are located in the Resources section of this webpage and organized by academic year.

You may address any questions or concerns related to School-Based Medicaid to Angie Williams. We look forward to working with you.

Karren Streagle, Ph.D.

Alternate Assessment/Low Incidence Disabilities/Medicaid Coordinator
Special Education Department
Idaho State Department of Education

Angie Willliams

Medicaid Program Policy Analyst for School-Based Services
Idaho Division of Medicaid
Beureau of Developmental Disability Services


What's New

New Psychological Evaluation Codes (5-9-19):  New psychological evaluation billing codes went into effect on January 1, 2019. Please visit the Clarifications page for guidance using the new codes.

Children’s Habilitation Intervention Services Changes (5-9-19): Children’s Habilitation Intervention Services will take effect on July 1, 2019. Thank you to everybody who attended the statewide trainings in April. Angie and I enjoyed meeting all of you. We will produce a series of tutorials based on the face-to-face trainings that will be posted to the Idaho Training Clearinghouse by August 1.

Clarification Form


Use this form to ask questions, seek clarification, or share thoughts and suggestions regarding School-Based Medicaid implementation and/or associated IDAPA rules. Follow the steps below to submit and get a response to your Clarification Form.
1. Download the form.
2. Open the form using Adobe PDF Reader.
3. Complete all fields comprehensively and to the best of your ability.
4. Please “Save As” with your district number and date in the file name. For example: D91 Aug 14 Medicaid Clarification Form.
5. Save the document for your future reference.
6. Send as an e-mail attachment to and Karren Streagle
7. A written response will be returned to you using your form. You may need to click the View Response at the bottom of page one for the response to be visible.
8. The response to your question/issue/suggestion will be posted to the Clarifications section.
9. If additional action is required, the School-Based Medicaid Advisory Committee will provide additional guidance.


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This Clarifications section includes questions and issues submitted on Clarification Forms and the joint State Department of Education and Department of Health and Welfare responses to those questions and issues.  They are organized by service categories and are searchable.  You will notice that Clarifications may be accessed under more than one category.

School Based Medicaid Resources

Contact Us

karren streagle, ph.d

Alternate Assessment/Low Incidence Disabilities/Medicaid Coordinator
Idaho State Department of Education
P.O. Box 83720 Boise, Idaho 83720

sde Idaho State Department of Education
650 W. State Street
PO Box 83720
Boise, ID 83720-0027